ArticleHernia : the journal of hernias and abdominal wall surgery2016
Laparoscopic TEP repair of inguinal hernia does not alter testicular perfusion.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.
- Comparison of endoscopic surgery and Lichtenstein repair for treatment of inguinal hernias: A network meta-analysis.Medicine · 2020Pooled it
- TEP for elective primary unilateral inguinal hernia repair in men: what do we know?Hernia : the journal of hernias and abdominal wall surgery · 2019Pooled it
- Does the use of hernia mesh in surgical inguinal hernia repairs cause male infertility? A systematic review and descriptive analysis.Reproductive health · 2018Pooled it
- Does laparoscopic hernia repair affect the vascularity of testis?Journal of family medicine and primary care · 2020Article
- Does robotic-assisted transabdominal preperitoneal (R-TAPP) hernia repair facilitate contralateral investigation and repair without compromising patient morbidity?Journal of robotic surgery · 2018Article
- Unilateral Lichtenstein tension-free mesh hernia repair and testicular perfusion: a prospective control study.Hernia : the journal of hernias and abdominal wall surgery · 2018Observational
- Bilateral endoscopic totally extraperitoneal (TEP) inguinal hernia repair does not impair male fertility.Hernia : the journal of hernias and abdominal wall surgery · 2017Observational
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe effect of laparoscopic TEP repair on testicular perfusion is unclear. The procedure entails dissection of testicular blood vessels off the hernial sac and incorporation of a prosthetic mesh. This carries at minimum, a theoretical risk of compromise in testicular blood supply, which in turn may affect fertility. Our study aims to establish if any alteration in testicular perfusion occurs in very early (24 h), early (1 week) or late postoperative period (3 months) after laparoscopic TEP repair in the Indian population.
methodsIn our prospective trial, 20 patients underwent unilateral and 8 underwent bilateral laparoscopic TEP hernia repairs using standard technique by experienced surgeons. Flow parameters of testicular, capsular and intratesticular artery were noted using color Doppler ultrasound preoperatively and postoperatively and the postoperative resistive indexes of operated side (n = 36) were compared with preoperative values. Additionally, for unilateral repairs, flow parameters on operated side were compared with the non-operated side.
resultsNo statistically significant difference was noticed in the resistive index of the arteries upon comparing these postoperative with preoperative values. For unilateral repairs, the flow parameters of the operated side were comparable with that of non-operated side (i.e. p > 0.05).
conclusionLaparoscopic TEP performed by experienced surgeons does not alter testicular flow dynamics in early or late postoperative period.
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